HomeMy WebLinkAboutAgenda - 08-22-2006-5jORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: August 22, 2006
Action Agenda .
Item No. ~_
SUBJECT: Continuation Grant Acceptance for Primary Care Services at Health
Department
DEPARTMENT: Health PUBLIC HEARING: (Y/N) No
ATTACHMENT (S): INFORMATION CONTACT:
Continuation Grant Application Rosemary Summers, 245-2411
PURPOSE: To accept the State continuation grant funds for primary care services at the Health
Department for the period July 1, 2006 through .June 30, 2007,
BACKGROUND: In 2005, the Health Department began offering primary care services far its
patients. In the first full year of providing primary care, the Department had approximately 441
visits from 233 patients. Currently, the Department averages 43 unduplicated primary care
clients per month with about half of those patients being uninsured, self-pay patients.
Over the past two years, the State has provided grant funds to defray some operating costs,
Grant monies in 2005 provided funds to purchase pharmaceuticals, supplies and equipment
and employ temporary staff to supplement permanent clinical staff. In 2006, the Department
was awarded $43,346 in continuation funds, Since continuation of grant funding is not definite
from year to year, the Department used the grant monies to expand the available hours of
primary care by adding an additional clinician team through the use of temporary personnel ,
Mare specifically, funds were used to hire apart-time family nurse practitioner, a registered
nurse, a nursing assistant and laboratory technicians on a temporary basis, Hours for the clinic
were increased by fourteen hours per week starting in late ,January 2006. While the grant funds
ended on May 30, the Department used available temporary monies to continue employment of
the additional team to ensure that there was no lapse in services for patients,
The continuation grant for 2006-07 is at the same level as the previous year ($43,346). The
budget projection (attached) indicates that the Department will continue to utilize the funds to
support a family nurse practitioner and a laboratory technician for 16 hours per week, and a
public health nurse I for 20 hours per week. In addition, the Department plans to use a small
amount of funding to purchase pharmaceuticals,
FINANCIAL IMPACT: As outlined above, the State awarded the Health Department $43,346 in
grant funds for fiscal year 2006-07. This funding from the State is in addition to County funding
and the department plans to use the grant fiords tc offset costs of temporary personnel and
pharmaceuticals. Due to the uncertainty of the State budget at the time of the County's budget
adoption, the continuation funds for fiscal year 2006-07 funds were not included in the Bcard
approved Health Department budget. Budget staff plans to include the receipt of these funds on
a future budget amendment for the Board's approval.
RECOMMENDATION (S): The Manager recommends that the Board accept the one-time
continuation grant funds and authorize the implementation of the grant.
Orange County Health Department
FY 2007 Community Health Continuation Grant
Budget
Amount available = $43,346
Personnel:
September 2006 -June 2007
Family Nurse Practitioner 16 hours/week X 41 weeks = 656 hours X $25,63Ihr = $16,813
Laboratory Tech 16 hourslweek X 41 weeks = 656 hours X $15.45/hr = $10,135
Public Health Nurse 1 20 hourslweek X 41 weeks = 820 hours X $19 65Ihr = $16,113
TOTAL PERSONNEL $43,061
Operating:
Pharmaceuticals $285
TOTAL OPERATING $285
TOTAL. EXPENSES $43,346
NAME OF GRANTEE: Orange County Health Department TOTAL # OF LJSERS: _169_
CONTRACT #: 1.10 -General Aid to County Funds
CONTRACT AMOUNT: $4:3,346 4"
COMMUNITY HEALTH GRANT RENEWAL
INTERIM PROGRESS REPORT
INSTRUCTIONS: This form must be completed and returned to the Office of Research, Demonstrations, and
Rural Health Development by June 9, 2006 to be considered for continuation funding.. Total Users reflect the
number of unduplicated users for all project initiatives funded by Community Health grants from January 1,
2006 through May .31, 2006, Please email the completed template to Allison.Owen~ncmail.net.
EVALUATION VALUES/MEASURES TARGET TO BE VALUES/MEASURES
CRITERIA REACHED AS OF REACHED BY 6/30/06 REACHED AS OF
6/30/05 (based on 7 months: 5/31/06
12/05-6/06) (based on 5 months:
I /116-5/(16)
Example:
To increase behavioral 3 encozmtershnonth 17 encounter°shnonth 1.5 encounter°s/month
healt/a core encoznzters,for
uninszn•ed patients from 3
to 17 encounters per
month
1. Total # of clients using Start-up of Primary Care
Primary Care Program PYOPYa/IJ Total # users = 208 Total # users = I (i9
(avg, # clients/mo) Total # users = 128 (avg. 30 /month) (avg. 43/nwnth)
(avg. 21/month)
2. # (%) of uninsured, 60 (47%) uninsured, self- 94 (45%) uninsured, self- 91 (54';%) uninsured,
self-pay clients pay pay sell-paa~
(avg. # clients/month) (avg. 10/month) (avg. 1.3/month) (avg, Z2/month)
3.
4.
COMMENTS/EXPLANATIONS:
In the 5 months of this grant period (1/06-5/06), we have exceeded our targeted number of unduplicated
primary care clients per month by 43°/~ (43/mo actual vs. 30/mo projected). We exceeded the number of
uninsured, self-pay primary care clients by 69% (22/mo actual vs. 13/mo projected). The percentage of
uninsured, self-pay clients fi•om all primary care clients exceeded the targeted amount also (54% actual
vs. 45% projected). With the help of this grant, the primary car°e program in Northern Orange County
has steadily grown and is contributing substantially to increasing access to care for the low-income,
uninsured_population.
Completed by: Wayne Sherman Date: June 7, 2006
E-Mail: wsherman a co.orant?e.nc.us Phone: (919) 245-2402